HomeMy WebLinkAboutDrain Layers Permit 44 Northview Drive WNW
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT N° 39
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at of* ��.t on the
t: ..4 side, betweenr4!. „+ t=, .v .eas ► la f'fl[Z .r,�
at premises owned by f"if7ef't1 14z nrs,,�
whose address is 44 t "st t IO'W
and to JL_Lay House Drain, Repair House Drain, Lay Main Other
for_- Jt# t# t:F3 :'
occupancy or use,
with Family Units, with 0.*t4 acres.
Type of Sewage to be connected under this permit:_
.`, . .�x:�.Y SE,�...�.+�" INDUSTRIAL WASTES, OR
�
WAGF
Connection will be made with to kaf f 1+k A,jP to
Permit to be issued to '';tr'A &4 4 jr� a"ti m
the holder of Drain Layer's License No.1 t$ - ;)re . Permit will expire on ja Lf
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and th'e reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS AE - sd+„t �„ a l t��Gv R +�'tE �� � '0 AL
Signed
Connection Charge Paid $ q*,*,, Licensed Drain Layer
(Sig) issued by
Tax Collector •
Permit Fee: Paid $
INSPECTION: ft mar*. .,Vj. •+s
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
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X Lateral AssessmentCaveat
Assessment Due 14.1ate
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To be pad in installment..6
Lien F Lied
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